Fatal Impalement Injuries after Falls at Construction Sites

Missliwetz, J

doi:10.1097/00000433-199503000-00018

Cited by 29 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reports have been made of impalement injuries suffered due to falls from heights unto fence or construction rods. [12,17] To our knowledge, this is the first report of cranial impalement from a falling fence spike which penetrated the victim's head and broke off its supporting frame, all from a collapsing fence. Another unique feature of this injury is the point of penetration and trajectory of entry -just to the right of the midline extracranially, but crossing the midline intracranially, into the left cerebral hemisphere.…”

Section: Discussionmentioning

confidence: 85%

Cranial Impalement of a Falling Fence Spike in a Child: A Case Report

Onimisi¹

2016

View full text Add to dashboard Cite

Abstract:Cranial impalement injuries are rare. They occur from a variety of objects, and via different mechanisms. We describe the case of a 5-year old boy who suffered cranial impalement injury via a unique mechanism. He presented to our centre with an impacted 17.8cm long metallic rod (a fence spike) in the vertex of his cranium, just off the midline. The spike penetrated his head and broke off its supporting frame as the frame was falling off a collapsing brick fence. He was transported as soon as possible to the hospital by relatives, without any attempt to remove the impaled spike. An urgent cranial computerized tomogram was done, and the object was removed under general anaesthesia in the operating theatre. The patient had complete recovery and was subsequently discharged from the hospital, with no residual neurological deficit. This case demonstrates a rare mechanism of cranial impalement. It also highlights the importance of following basic principles in the management of such injuries.

show abstract

Section: Discussionmentioning

confidence: 85%

Cranial Impalement of a Falling Fence Spike in a Child: A Case Report

Onimisi¹

2016

View full text Add to dashboard Cite

show abstract

“…Autopsy in occupational accidents will not only prevent legal problems, but also help for determination of the causes of fatal accidents and may help to figure out their prevention. Autopsy is especially recommended to determine the blood alcohol or drug levels which could be the cause of falls from height 24) . In the previous study, in which 70 fatal occupational injury cases were referred by a forensic medicine specialist for autopsy to the morgue at the Council of Forensic Medicine, the most frequent cause was found electrocution in 31 cases (44.3%), falls from height was seen in 14 cases (20%).…”

Section: Discussionmentioning

confidence: 99%

Fatal Occupational Injuries in the Construction Sector in Kocaeli, Turkey, 1990-2001

2004

View full text Add to dashboard Cite

In Turkey, the construction sector is responsible for the largest number of work-related fatalities among all industries. This study's objective is to determine the characteristics of the fatalities in the construction sector in Kocaeli Province. The study was carried out retrospectively by investigating the records of occupational deaths between 1990 and 2001 in the Kocaeli District of Turkey. Fatal occupational injuries in the construction sector were investigated in detail by evaluating the records. The analysis was based on data from 153 deaths. The incidence of occupational injuries was found overall to be 4.5% in Kocaeli, while the annual mortality rate was 60.4 in Kocaeli and 79.0 in Turkey per 100,000 workers over the entire time period. On the other hand, the fatality rate of occupational injuries was found to be 12.0 per 1,000 in Turkey and 6.4 per 1,000 in Kocaeli. The evaluation of the type of injuries in construction sector has revealed that in 69 of cases (45.1%) fell down from high altitude, in 22 cases (14.4%) vehicle accident, and in 22 (14.4%) electrocution were the cause of death. The leading causes of death have been found to be blunt-force trauma (37.9%) and head trauma (25.5%). Fourty one percent of those who had occupational accidents have had less than one year work experience. Only in 7.8% of deaths, the cause was determined through an autopsy.

show abstract

“…The literature presents only few survival cases, the vast majority being unfortunately fatal. [1][2][3][4][5][6][7][8] One important issue for patient survival is rapid transportation of the victim to the appropriate hospital. A rapid and prompt reaction of the trauma team and adherence to a structured management protocol are also essential.…”

Section: Introductionmentioning

confidence: 99%

Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Luncă

Moroşanu

Alexa

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Impalement injuries are rare and among the most spectacular and dramatic traumatic lesions. The survival of a patient with a thoracic impalement injury is an extremely rare event. The objective of this study was to present the case of a 24-year-old male patient with a severe thoracic impalement injury successfully treated despite his late arrival in our hospital. A log in 12 cm diameter penetrated his right thorax producing injuries of the right main bronchus, right pulmonary lobe, right subclavian artery as well as extensive parietal lesions. Definitive surgical repair of these lesions was performed more than seven hours after trauma. The management principles contributing to the successful outcome that we would like to emphasize are: rapid transportation and reaction of the trauma team, minimal manipulation of the impaling object, removal of the log as one piece under direct vision in the operating room, ventilatory support, extensive debridement, and lavage associated with appropriate antibiotherapy.

show abstract

Fatal Impalement Injuries after Falls at Construction Sites

Cited by 29 publications

References 0 publications

Cranial Impalement of a Falling Fence Spike in a Child: A Case Report

Cranial Impalement of a Falling Fence Spike in a Child: A Case Report

Fatal Occupational Injuries in the Construction Sector in Kocaeli, Turkey, 1990-2001

Severe thoracic impalement injury: survival in a case with delayed surgical definitive care

Contact Info

Product

Resources

About